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Asked by SuperPower4770

Case Scenario
Identification
Mr. Hassan Faizan, 62 years old.
Situation
Hassan is here in the emergency department due to pain. Current pain score is 8/10. 
Hassan’s wife Farah and one of his sons are in the waiting room; they are stressed.
Background
Allergies: – nil
Medications: lipitor, atenolol
Past history: hypertension, elevated cholesterol
Last ate & drank: 2 days ago, due to nausea
Events:
Suffering right sided flank pain for two days
Hassan’s weight is 130kgs. Hassan is married to Farah aged 58 years. They have two sons who live 
nearby and visit regularly. Farah and their son are worried as they do not understand what is 
happening. 
Assessment
Temperature = 38.0°C
Pulse rate = 116 beats per minute, capillary refill = 3 seconds
Respiratory rate = 26 breaths per minute
Blood pressure = 115/70 mmHg
Oxygen saturation = 96% on room air
GCS = 15
Hassan’s current pain score is 8/10, localising to his right flank and radiating to his groin region. 
He is diaphoretic, grimacing, and crying intermittently. The urine is blood stained. The pain has 
been low to moderate intensity for several days, at midday the pain intensity increased 
dramatically. 
The family are stressed as they do not know what is wrong with Hassan and suspect the worst. 
Hassan and Farah were born in Iran and moved to Australia 6 years ago. They are both fluent in 
conversational English but have only moderate English reading skills.
Recommendations
Complete your secondary assessment so that you understand what pathophysiology is occurring. 
Once you have planned your care, implement it but make sure that it adheres to the NSQHS 
standards and supports Hassan’s and his family’s needs

 

Part 1
Investigations were completed and the results were C-reactive protein =16 mg/L, white cell count = 
20,000/μL, and a urolithiasis of 8 mm diameter was in the right ureter. 

 

Conduct a focused assessment of the neurological system.
ï‚· What information from the case scenario informs the neurological assessment?

   What information do you need to complete the neurological assessment?
ï‚· What neurological system investigations are required for this patient?
ï‚· If the function of the neurological system has changed, why?

 

Conduct a focused assessment of the respiratory system.
ï‚· What information from the case scenario informs the respiratory assessment?
ï‚· What information do you need to complete the respiratory assessment?
ï‚· What respiratory investigations are required for this patient?
ï‚· If the function of the respiratory system has changed, why?

 

Conduct a focused assessment of the cardiovascular system.
ï‚· What information from the case scenario informs the cardiovascular assessment?
ï‚· What information do you need to complete the cardiovascular assessment?
ï‚· What cardiovascular investigations are required for this patient?
ï‚· If the function of the cardiovascular system has changed, why?

 

Conduct a focused assessment of the renal system.
ï‚· What information from the case scenario informs the renal assessment?
ï‚· What information do you need to complete the renal assessment?
ï‚· What renal investigations are required for this patient?
ï‚· If the function of the renal system has changed, why?

 

Conduct a focused assessment of the gastrointestinal system.
ï‚· What information from the case scenario informs the gastrointestinal assessment?
ï‚· What information do you need to complete the gastrointestinal assessment?
ï‚· What gastrointestinal investigations are required for this patient?
ï‚· If the function of the gastrointestinal system has changed, why?

 

Conduct a focused assessment of the integumentary system.
ï‚· What information from the case scenario informs the integumentary assessment?
ï‚· What information do you need to complete the integumentary assessment?
ï‚· If the function of the integumentary system has changed, why?

 

How do the patient’s lifestyle factors impact the healthcare of the patient?

How do the patient’s socioeconomic factors impact the healthcare of the patient?

How do the patient’s patterns of healthcare use impact the healthcare of the patient?

Part 2 
In this part of the assignment, you are required to explain the pathophysiology of the patient’s condition 
as indicated by the information in the patient handover and the results presented above.

 
Part 3 
In this part of the assignment, you are to explain one high priority intervention: 
1. RN actions to implement intervention
2. RN actions to evaluate the intervention 
3. Evidence that the intervention is safe and effective
4. RN actions to create patient-centred care through adherence to the social justice framework

Part 4 
In this part of the assignment, you are to explain a second high priority intervention: 
1. RN actions to implement intervention
2. RN actions to evaluate the intervention 
3. Evidence that the intervention is safe and effective
4. RN actions to create patient-centred care through adherence to the social justice framework

 

SCIENCE
HEALTH SCIENCE
NURSING

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